NPI | 1275607616 |
---|---|
Doing Business As | PETROFF CENTER |
Entity Type | Organization |
Authorized Contact | MARK A PETROFF President 503-607-1304 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: OR 07-1550) |
Enumeration Date | 2006-11-18 |
Last Update Date | 2008-05-07 |